Restoring apoptosis as a strategy for cancer gene therapy: focus on p53 and mda-7

Irina V Lebedeva1, Zhao Zhong Su, Devanand Sarkar

  • 1Department of Pathology, Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY 10032, USA.

Insights

Targeting cancer involves understanding its genetic roots and overcoming resistance to therapy. Strategies like restoring tumor suppressor p53 and using the mda-7 gene or oncolytic viruses offer new avenues for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Malignant cells often resist apoptosis, hindering chemotherapy and radiation efficacy.
  • Mutations in the tumor suppressor gene p53 are a common cause of this resistance.
  • Developing novel therapeutic strategies is crucial for effective cancer treatment.

Purpose of the Study:

  • To explore molecular and genetic targets for rational cancer therapy.
  • To investigate methods for restoring apoptosis in malignant cells.
  • To evaluate novel approaches for cancer cell destruction.

Main Methods:

  • Investigating the role of tumor suppressor gene p53 mutations in chemoresistance.
  • Exploring the forced expression of the melanoma differentiation associated gene-7 (mda-7) to induce apoptosis.
  • Utilizing conditional-replicating viruses for tumor-selective cytolysis.

Main Results:

  • Restoring defective p53 function shows potential for re-sensitizing cancer cells to apoptosis.
  • Forced expression of mda-7 offers a promising strategy for inducing cancer-specific apoptosis.
  • Conditional-replicating viruses demonstrate a targeted approach for cancer cell destruction.

Conclusions:

  • Understanding cancer's molecular and genetic basis is key to developing effective therapies.
  • Strategies targeting apoptosis, such as p53 replacement and mda-7 expression, hold significant promise.
  • Oncolytic viruses represent an emerging therapeutic modality for cancer treatment.

Related Concept Videos

Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
DNA Damage Can Stall the Cell Cycle02:36

DNA Damage Can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
Negative Regulator Molecules01:23

Negative Regulator Molecules

Positive regulators allow a cell to advance through cell cycle checkpoints. Negative regulators have an equally important role as they terminate a cell’s progression through the cell cycle—or pause it—until the cell meets specific criteria.
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...